Kaiser Permanente Home Infusion Pharmacy

LBN: Kaiser Foundation Health Plan Of The Northwest
Kaiser Permanente Home Infusion Pharmacy is an health care organization with primary practice located at 5717 Ne 138Th Ave , Portland OR 97230-3409. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of The Northwest can be contacted via phone (503) 261-2090, or through Lyman, Alfred via phone (800) 813-2000.

Contact Information

Primary practice address
5717 Ne 138Th Ave Portland OR 97230-3409
Phone: (503) 261-2090
Fax: (503) 261-2040
Website:
Map and Directions
Authorized official contact:
Name: Lyman, Alfred PHARMD, BCPS
Phone: (800) 813-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHNR58657 Washington
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X RP-0002131-CS Oregon
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1225078223
LBN Legal business name Kaiser Foundation Health Plan Of The Northwest
DBA Doing business as Kaiser Permanente Home Infusion Pharmacy
Authorized official Lyman, Alfred PHARMD, BCPS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225078223 NPPES
Other 2078366 PK
MEDICAID 6019392 PK
MEDICAID 136668 PK

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